title: Leary's Rose to improve negotiation skills among health professionals: experiences from a Southeast Asian culture.
abstract: BACKGROUND
  Although inter-professional collaboration is important for patient safety, effective collaboration can be difficult to achieve, especially in settings with a strong hierarchical or blame culture.
  Leary's Rose is a model that gives insight into the hierarchical positions people take during a negotiation process. The assumption behind this tool is that the default reaction we intuitively choose is not always the most effective. Becoming aware of this default reaction makes it possible to choose to behave differently, in a more effective way. We propose to use this model to make health professionals more aware of their attitudes and communication styles when negotiating and provide them with a tool to improve communication by modifying their natural responses.
  
  
  CONCLUSIONS
  Leary's Rose can be used in simulated and authentic work-based educational settings. To train the communication skills of nurses to be the patients' advocates, for example Leary's Rose was used in role plays in which nurses have to negotiate in the patients' interest with the doctor while they have to maintain partnership relationship and avoid opposition with the doctor.
authors.affiliation: Faculty of Pharmacy, University of Surabaya, Indonesia. pratidina@yahoo.com
authors.forename: Astrid Pratidina
authors.initials: AP
authors.lastname: Susilo
authors.forename: Valerie
authors.initials: V
authors.lastname: van den Eertwegh
authors.forename: Jan
authors.initials: J
authors.lastname: van Dalen
authors.forename: Albert
authors.initials: A
authors.lastname: Scherpbier
mesh_terms: D001210:Asia, Southeastern; D003299:Cooperative Behavior; D003469:Culture; D006282:Health Personnel / Q000193:education / Q000523:psychology* / Q000592:standards; D006801:Humans; D017145:Models, Educational; D017008:Negotiating / Q000379:methods* / Q000523:psychology